Stone Creek Dental

NPI #1568621886 in Meridian, Idaho

Provider Information

NPI Number: 1568621886
Entity Type: Organization
Organization Name: Stone Creek Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 2, 2008
Last Updated: Jun 2, 2008

Practice Location

Address: 2630 S EAGLE RD
City: Meridian
State: Idaho
ZIP Code: 83642-6704
Phone: (208) 888-0625

Authorized Official

Name: DR. CASEY SCOTT BUTTERFIELD, DDS
Title: OWNER
Phone: (208) 888-0625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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